[Workforce management in Emergency Care Units: government strategies and profile of healthcare professionals].

Abstract:

:In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazil's policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.

journal_name

Cad Saude Publica

authors

Machado CV,de Lima LD,O'Dwyer G,de Andrade CL,Baptista TW,Pitthan RG,Ibañez N

doi

10.1590/0102-311X00170614

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

e00170614

issue

2

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2016000200704

journal_volume

32

pub_type

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